<Membership>: Please select [Member, Graduate student, Student].
<Name (surname, firstname)>:
<Birthday (year, month, day)>:
<Title>:
<Affiliation / Organization>:
<Address>:
<TEL>:
<FAX>:
<E-mail>:
<Home address>:
<TEL>:
<FAX>:
<I graduated from / am in school (university)>:
<I graduated / will graduate in (year)>:
<Introducer (if exists)>:
<Mail to>: Please select [Home, Affiliation]
<Comments>:
Secretary Office of the Japan Society for Precision Engineering
Kudan-Seiwa Building, 5-9, Kudan-kita 1-chome, Chiyoda-ku, Tokyo 102-0073 JAPAN
TEL: 03-5226-5191 FAX: 03-5226-5192